Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis

We hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable bl...

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Main Authors: Mukesh Taneja, Varsha M Rathi, Bhupesh Bagga, Somasheila I Murthy, Jatin Ashar, Ashok Kumar Reddy, Pravin K Vaddavalli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2019;volume=12;issue=3;spage=203;epage=205;aulast=Taneja
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spelling doaj-6917763eea9a43b4814d99b4d196cc8e2020-11-25T02:32:14ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2019-01-0112320320510.4103/ojo.OJO_54_2017Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusisMukesh TanejaVarsha M RathiBhupesh BaggaSomasheila I MurthyJatin AsharAshok Kumar ReddyPravin K VaddavalliWe hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable blades. Postoperatively, topical antibiotic and steroids were advised; he discontinued antibiotic on his own after using for a day. On the 5th postoperative day, he had pain, redness, decreased vision, and white spot in the left eye (LE) for 1-day duration. Uncorrected visual acuity (UCVA) of LE reduced to 20/80 from postoperative 20/20. Slit-lamp biomicroscopy revealed tiny infiltrate in the interface with reticular haze in the flap and stroma. Gram-positive cocci in pairs and tetrads were found on corneal smears that were collected after lifting the flap from infiltrate, stromal bed, and undersurface of the flap. M. luteus was isolated on culture. The infiltrate resolved with scarring with intensive topical antibiotics. UCVA was 20/25. To the best of our knowledge, this is a first case report of post-LASIK infectious keratitis caused by M. luteus.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2019;volume=12;issue=3;spage=203;epage=205;aulast=TanejaInfectious keratitislaser in situ keratomileusisMicrococcus luteus
collection DOAJ
language English
format Article
sources DOAJ
author Mukesh Taneja
Varsha M Rathi
Bhupesh Bagga
Somasheila I Murthy
Jatin Ashar
Ashok Kumar Reddy
Pravin K Vaddavalli
spellingShingle Mukesh Taneja
Varsha M Rathi
Bhupesh Bagga
Somasheila I Murthy
Jatin Ashar
Ashok Kumar Reddy
Pravin K Vaddavalli
Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
Oman Journal of Ophthalmology
Infectious keratitis
laser in situ keratomileusis
Micrococcus luteus
author_facet Mukesh Taneja
Varsha M Rathi
Bhupesh Bagga
Somasheila I Murthy
Jatin Ashar
Ashok Kumar Reddy
Pravin K Vaddavalli
author_sort Mukesh Taneja
title Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
title_short Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
title_full Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
title_fullStr Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
title_full_unstemmed Micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
title_sort micrococcus keratitis following microkeratome-assisted laser in situ keratomileusis
publisher Wolters Kluwer Medknow Publications
series Oman Journal of Ophthalmology
issn 0974-620X
publishDate 2019-01-01
description We hereby report a case of infectious keratitis after laser in situ keratomileusis (LASIK) caused by Micrococcus luteus, a commensal, managed successfully in a nonimmunocompromised individual. A 25-year-old healthy male underwent uneventful bilateral simultaneous LASIK for myopia using disposable blades. Postoperatively, topical antibiotic and steroids were advised; he discontinued antibiotic on his own after using for a day. On the 5th postoperative day, he had pain, redness, decreased vision, and white spot in the left eye (LE) for 1-day duration. Uncorrected visual acuity (UCVA) of LE reduced to 20/80 from postoperative 20/20. Slit-lamp biomicroscopy revealed tiny infiltrate in the interface with reticular haze in the flap and stroma. Gram-positive cocci in pairs and tetrads were found on corneal smears that were collected after lifting the flap from infiltrate, stromal bed, and undersurface of the flap. M. luteus was isolated on culture. The infiltrate resolved with scarring with intensive topical antibiotics. UCVA was 20/25. To the best of our knowledge, this is a first case report of post-LASIK infectious keratitis caused by M. luteus.
topic Infectious keratitis
laser in situ keratomileusis
Micrococcus luteus
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2019;volume=12;issue=3;spage=203;epage=205;aulast=Taneja
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AT varshamrathi micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
AT bhupeshbagga micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
AT somasheilaimurthy micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
AT jatinashar micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
AT ashokkumarreddy micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
AT pravinkvaddavalli micrococcuskeratitisfollowingmicrokeratomeassistedlaserinsitukeratomileusis
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